Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $562.34	Professional		$371.54	$436.52	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $478.63	Professional		$380.19	$426.58	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $794.33	Professional		$524.81	$602.56	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $398.11	Facility		$223.87	$223.87	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $426.58	Professional		$223.87	$239.88	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $416.87	Professional		$263.03	$416.87	$416.87